“…15,18,[20][21][22][23][24] For some of these adjuvants, issues of actual or perceived toxicity, stability, complexity and scalability of preparation as well as efficacy and duration of induced immune responses remain unresolved. 6,11,13,25,26 For instance, ISCOMATRIX TM (colloidal, spherical structures, comprising of saponin such as Quil A, cholesterol and a phospholipid) has potential as a mucosal adjuvant 27,28 but it may not be easily amenable for use with hydrophilic protein antigens, and concerns/perceptions regarding saponin toxicity remain. 29,30 Cochleate vaccines derived by interaction of multivalent cations with ester lipid liposomes 31,32 or with proteoliposomes 24,33 have been investigated for mucosal…”